MultiCare Good Samaritan Hospital
401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ot evaluation low complexity patient/family CPT 97165 | $144.00 | $360.00 | $59.12 – $470.73 | 15 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $156.40 | $391.00 | $59.12 – $470.73 | 15 |
| Other bone graft microvasc CPT 20962 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $7.40 – $45.33 | 14 |
| Oth resp proc, group HCPCS G0239 | $86.80 | $217.00 | $42.72 – $179.28 | 13 |
| Oth resp proc, indiv HCPCS G0238 | $77.60 | $194.00 | $33.08 – $138.82 | 13 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $75.20 | $188.00 | $27.41 – $249.51 | 15 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $64.80 | $162.00 | $28.16 – $227.52 | 15 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $53.20 | $133.00 | $15.67 – $127.09 | 15 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $60.80 | $152.00 | $78.87 – $85.18 | 5 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,791.96 – $15,914.98 | 12 |
| Ot re-evaluation patient/family CPT 97168 | $90.80 | $227.00 | $40.84 – $324.79 | 15 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $62.40 | $156.00 | $21.45 – $174.18 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $51.60 | $129.00 | $18.33 – $100.42 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $51.60 | $129.00 | $19.24 – $103.57 | 15 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $52.40 | $131.00 | $17.16 – $138.07 | 15 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $54.00 | $135.00 | $19.58 – $158.48 | 15 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $55.20 | $138.00 | $19.02 – $153.76 | 15 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $70.32 – $312.53 | 12 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $183.57 – $815.90 | 12 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $2,999.01 – $24,012.92 | 14 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $255.16 – $275.57 | 5 |
| Ovulation tests CPT 84830 | not published | not published | $8.93 – $24.89 | 14 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $30.52 | $76.30 | not published | 0 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $25.17 | $62.91 | not published | 0 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $3.99 – $23.00 | 2 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.32 – $6.78 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $35.33 | $88.32 | not published | 0 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $321.64 – $955.97 | 6 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $250.77 – $1,171.62 | 14 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $30.75 – $268.52 | 14 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $2.00 | $4.99 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $5.90 – $1,272.76 | 14 |
| Palb2 gene full gene seq CPT 81307 | $572.00 | $1,430.00 | $286.81 – $1,325.94 | 15 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $84.33 – $590.65 | 14 |
| Palifermin injection HCPCS J2425 | not published | not published | $35.98 – $1,272.76 | 14 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $142.33 – $597.36 | 10 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $14.78 – $860.72 | 14 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $428.02 – $4,794.54 | 14 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $28.76 | $71.90 | not published | 0 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $4,530.22 – $4,892.64 | 5 |
| Pancreatectomy CPT 48146 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pancreatectomy CPT 48154 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $170.90 – $3,428.99 | 14 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $37.46 | $93.65 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $95.60 | $239.00 | $22.98 – $80.91 | 15 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,553.60 | $3,884.00 | $272.41 – $2,606.40 | 15 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $2,999.77 – $3,239.75 | 5 |
| Parathyroid planar imaging CPT 78070 | $1,106.40 | $2,766.00 | $457.23 – $1,919.01 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,174.40 | $2,936.00 | $272.41 – $1,919.01 | 15 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $4,067.81 – $24,012.92 | 14 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $28.61 – $37.55 | 3 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $2,298.80 – $31,874.32 | 14 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $180.00 | $450.00 | $116.08 – $963.09 | 15 |
| Parotid duct diversion CPT 42507 | not published | not published | $2,064.79 – $28,416.55 | 14 |
| Parotid duct diversion CPT 42509 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Parotid duct diversion CPT 42510 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,728.07 – $15,538.94 | 14 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,167.51 – $15,706.36 | 14 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,712.68 – $15,706.36 | 14 |
| Partial excision of lip CPT 40500 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Partial hip replacement CPT 27125 | not published | not published | $14,683.87 – $61,628.63 | 10 |
| Partial hysterectomy CPT 58180 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial proctectomy CPT 45113 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal donor liver CPT 47141 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal donor liver CPT 47142 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,559.13 – $7,718.72 | 14 |
| Partial removal finger bone CPT 26236 | not published | not published | $940.20 – $7,718.72 | 14 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $2,213.64 – $15,706.36 | 14 |
| Partial removal of bladder CPT 51550 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $769.08 – $11,078.09 | 14 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $769.08 – $11,078.09 | 14 |
| Partial removal of fibula CPT 27641 | not published | not published | $2,213.64 – $15,706.36 | 14 |
| Partial removal of foot bone CPT 28288 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Partial removal of hand bone CPT 26230 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $652.16 – $15,914.98 | 14 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.